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Copyright 1978 by the American Chemical Society
Before starting with my lecture proper, I would like to then known tranquilizers were intensively studied by
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express my deep felt thanks to the Medicinal Chemistry several groups of investigators, e.g., meprobamate (Mil-
Division of the American Chemical Society for choosing town) at Wallace Laboratories, reserpine by the Ciba
me to receive this prestigious award. It is indeed an honor, research group, and chlorpromazine by the SKF research
gives me great satisfaction, and makes me very happy. team.
In this lecture, I would like to tell you about the chain We therefore considered it more attractive to pursue the
of events that started with the synthesis of a new chemical second approach and be guided mainly by our interest in
entity and culminated in the discovery of a new class of synthetic chemical bench work. The class of compounds
biologically active agents. Specifically, I shall discuss the we were seeking would be expected to fulfill the following
development of the group of centrally acting 1,4-benzo- criteria: (1) be relatively unexplored, (2) be readily ac-
diazepines that began with the discovery of a pharma- cessible, (3) give the possibility of a multitude of variations
cologically active compound, which received the generic and transformations, (4) offer some challenging chemical
name chlordiazepoxide and is the active ingredient of problems, and (5) “look” as if it could lead to biologically
Librium. active products. Our search led us to the benzheptox-
The story starts in the mid 1950s when the tranquilizers, diazines, compounds I had worked with during my
a new class of therapeutic agents, were shown to have postdoctoral assistantship years at the University of
considerable clinical value, and Roche decided to embark Cracow.2 These studies in the early 1930s were concerned
on a program concerned with the synthesis of products of with a search for new dyestuffs and dyestuff intermediates
this type. The pharmacological tests for the screening of and were terminated after we found that the benz-
sedatives and tranquilizers were well in hand, and we heptoxdiazines did not lend themselves to the anticipated
chemists were asked to produce a new compound which uses. Compounds of this type now looked rather attractive
would be superior to the then existing tranquilizers. to us and seemed to be well suited for a fairly broad
A chemist faced with a problem of this kind has various synthetic program. The starting materials were readily
approaches at his disposal. He can start in a rather so- accessible, and their transformation into benzheptox-
phisticated manner with a biochemical working hypothesis, diazines seemed to be a reaction of general applicability.
with other intelligent speculations, or select a more prosaic The first compounds of this type were prepared in 1891
approach. by Auwers and von Meyenburg3 by treatment of amino-
Our knowledge of the processes occurring in the brain (1) or acetaminoacetophenone oximes (2) with a Beckmann
was rather limited, and we could not think of an intelligent
working hypothesis. Therefore, we decided to take the low
road and to attack this problem in a purely empirical
manner. Since our main interest was chemical synthesis,
we planned to select an approach which would be
chemically most attractive, challenging, and satisfying.
This left us essentially with two alternatives: to modify
existing drugs or to search for a new class of tranquilizers.
Molecular modification, sometimes disparagingly called
molecular manipulation, of products known to have the
desired properties has proven to be very successful in the
past. The modification or simplification of the molecular
structure of naturally occurring alkaloids, hormones, and
antibiotics has given excellent results. The molecular
modification of many synthetic drugs, e.g., of the first sulfa
drug Prontosil, the first MAO inhibitor, the first synthetic
diuretic, and many other synthetic biologically active
products has also led to vastly improved medicines. This mixture. The heptoxdiazine structure was “definitely
approach did not appear to be very promising, since the established” in 1924.4
I knew from my past experience that these compounds the pharmacological properties were rather disappointing.
were readily formed, crystallized very well, and could be Neither removal of the Ñ-oxide oxygen nor hydrogenation
easily isolated and purified. A literature search revealed at the 3,4 position yielded anything of interest.5,6
that since our work in Cracow2 very little had been At that time (this was the second half of 1955) we had
published about the chemistry of benzheptoxdiazines and to stop our work in the quinazoline field since other
that no studies concerned with their biological properties problems seemed to be of greater importance. We became
had been carried out. These compounds therefore seemed involved with other synthetic projects and the isolation,
to be ideally suited for our purposes. We planned to purification, and degradation of various antibiotics. This
synthesize a number of the relatively readily accessible intensive work, of little practical value, finally led, in April
amino ketones 4 bearing various substituents in the 1957, to an almost hopeless situation. The laboratory
benches were covered with dishes, flasks, and beakers—all
containing various samples and mother liquors. The
working area had shrunk almost to zero, and a major spring
cleaning was in order.
During this cleanup operation, my co-worker, Earl
Reeder, drew my attention to a few hundred milligrams
of two products, a nicely crystalline base and its hydro-
chloride. Both the base, which had been prepared by
treating the quinazoline N-oxide 11 with methylamine, and
r2
6
benzene ring and acylate their oximes to products of type
5. By combining a variety of amino ketones and acids, a
large number of new compounds of type 6 would be ex-
pected to become available in the shortest time and with
aminimum of difficulties. its hydrochloride had been made sometime in 1955. The
Further transformations of 6 offered the promise of products were not submitted for pharmacological testing
additional interesting possibilities. One of our first ob- at that time because of our involvement with other
was the synthesis of new compounds, e.g., 7, which,
jectives problems. Since the compounds were pure and had the
by treatment with amines, could be converted into expected composition, we submitted the water-soluble salt
for pharmacological evaluation in 1957. We again expected
products possessing basic side chains as in 8. The reaction
to receive negative pharmacological results and thought
^R
that our work with quinazoline N-oxides would be finished
and lead to the publication of some chemically interesting
material. Little did we know that this was the start of a
program which would keep us busy for many years.
The product was submitted for testing in May 1957 and
within a few days we received an enthusiastic telephone
call from our pharmacologist, Dr. Lowell Randall. He
informed us that this compound possessed unusually
products, we hoped, might have interesting properties,
interesting properties in the six tests which were generally
since it is known that basic groups frequently impart used for the preliminary screening of tranquilizers and
biological activity. sedatives. Table I shows the comparison of its pharma-
In the midst of our work, we began to have serious cological properties with those of the then most used
doubts about the structure of the heptoxdiazines of type tranquilizers and the hypnotic, phenobarbital.7 Mice were
7 and 8. In particular, the results of hydrogenation ex- used in all these tests with the exception of the third one
periments were quite revealing. The oxygen was removed which was carried out with unanesthesized cats. The
with great ease and the products, formed in good yield, inclined screen test indicates muscle relaxation and se-
were quinazolines. Additional chemical studies showed dation and the foot shock possibly a taming effect. The
unequivocally that the so-called heptoxdiazines did not test with the unanesthesized cat shows muscle relaxation
possess the postulated structure but were in fact quin- and is quite characteristic for this class of compounds as
azoline 3-oxides5 as shown in 9 and 10. The interesting is the pentylenetetrazole test which indicates sedative and
/R anticonvulsant properties. The two electroshock tests are
R a measure of their potency as anticonvulsants.8
Table I shows that the new compound was much more
effective than meprobamate in each of our six preliminary
tests. Compared with chlorpromazine, it was weaker in
the first two tests, of equal strength as a muscle relaxant
in the cat, and had a more pronounced anticonvulsant
novel structure of these compounds and their facile for- activity in the mouse. As can be seen in the last line our
mation and transformations gave us additional incentive new compound was superior to phenobarbital in the first
to continue our work. We synthesized a number of four tests but inferior in the two electroshock tests. The
quinazoline 3-oxides of type 9, treated them with secondary absence of direct hypnotic properties below the toxic dose
amines, and obtained the expected substitution products was another interesting feature which differentiated it very
of type 10. The reaction occurred readily with the for- characteristically from phenobarbital. It is also worth
mation of nicely crystallized products, but unfortunately noting that unlike chlorpromazine and reserpine it had no
Award Address Journal of Medicinal Chemistry, 1979, Vol. 22, No. 1 3
nh2 HOOC
:ch2 + h2nch3
h2n
Cl •CO
15
Table III. Comparison of the Pharmacological Activity0 of Chlordiazepoxide with That of Diazepam
anticonvulsant tests
electroshock
inclined foot pentylene-
compd screen shock cat tetrazole max min
chlordiazepoxide 100 40 2 18 92 150
diazepam 30 10 0.2 1.4 6.4 64
°
Dose (mg/kg) of orally administered drug required to achieve the desired effect.
research teams at Wyeth15 and also at Roche.6 Scheme II
The Wyeth investigators were rather successful. They R
CO
Hoi -
I
COCH-Hol
R
f CO
chlordiazepoxide0 diazepam
(Librium, 1960) (Valium, 1963)
0
Ring A: (position 7) generally, increased by electron-
withdrawing groups, e.g., halogens, N02, and CF3, and
decreased by electron-releasing groups such as CH3 and
OCH3; decreased by any substituents in any positions
other than 7. Ring B: increased by a methyl group at
position 1; decreased by larger substituents; ferf-butyl
derivative is completely inactive. Ring C: increased by
halogens at the 2' position (e.g., Cl and F); very strongly
decreased by a substituent at the 4’ position.
oxazepam
impart high activity: the CH3 group at 1, the nitro group (Serax, 1965)
at 7, and a fluorine at 2'.14,17 It proved to be, as expected,
one of the pharmacologically most potent benzodiazepi-
nones, illustrating the additive or potentiating properties
of pharmacophoric groups in the benzodiazepine series. It COOK·KOH
was introduced in Switzerland in 1975 as a potent hyp-
notic, acting in 1-mg doses.
These studies showed that our six preliminary tests gave
a good indication of the potency of these compounds.
However, differences in the pharmacological spectrum were clorazepate clonazepam
not very significant since, to date, they unfortunately have (Tranxene, 1972) (Clonopin, 1975)
not led to compounds which show effects going much
beyond those of other 1,4-benzodiazepines. In every case,
muscle relaxation and sedation, anxiolytic, anticonvulsant,
and hypnotic properties are present to a varying degree.
Only the preponderance of one or the other activity seems
to vary. It should be noted that this discussion has been
limited to benzodiazepinones having a phenyl group at the
5 position, because such compounds were generally bio-
logically most active and also most readily accessible.
However, many benzodiazepinones bearing other sub-
lorazepam prazepam
stituents at the 5 position were synthesized and studied (Verstran, 1977)
(Ativan, 1977)
pharmacologically by many research teams, including ours.
Few were of interest and some of them were rather difficult 0
Marketed mainly as the hydrochloride. 6 Marketed
to prepare. Only two benzodiazepinones bearing a sub- as the hydrochloride.
anxiolytics, flurazepam is a hypnotic, and clonazepam is 1961); L. O. Randall, W. Schallek, G. A. Heise, E. F. Keith,
an antiepileptic. Fourteen additional 1,4-benzodiazepine and R. E. Bagdon, J. Pharmacol. Exp. Ther., 129,163 (1960).
derivatives are marketed outside the U.S., many of them (8) For a description of these tests see ref 17.
(9) L. H. Sternbach and E. Reeder, J. Org. Chem., 26, 1111
under several trade names.
(1961).
Acknowledgment. I wish to express my appreciation (10) L. H. Sternbach, Angew. Chem., 83, 70 (1971).
to all my associates who contributed so greatly to the (11) L. H. Sternbach, E. Reeder, O. Keller, and W. Metlesics,
development of the chemistry of benzodiazepines, in J. Org. Chem., 26, 4488 (1961), and additional unpublished
results.
particular to the first group of chemists who were involved
in the earliest stages of our studies: G. A. Archer, . E. (12) L. H. Sternbach, U.S. Patent 2893992 (July 7, 1959).
(13) L. H. Sternbach and E. Reeder, J. Org. Chem., 26, 4936
Derieg, G. F. Field, R. I. Fryer, W. Metlesics, R. Y. Ning, (1961)
E. Reeder, G. Saucy, R. A. Schmidt, N. Steiger, and A.
.
[1-Penicillamine,2-leucine] oxytocin was synthesized by the solid-phase method of peptide synthesis and purified
by partition chromatography on Sephadex G-25, followed by gel filtration. The peptide was found to be a very
potent competitive inhibitor of oxytocin in the oxytocic assay with a pA2 of 7.14 and an inhibitor of oxytocin in
the milk-ejecting assay. The compound showed no agonist activity in either of these assays, and its inhibitory activity
at the uterus was of prolonged duration. The 13C nuclear magnetic resonance spectral properties and the 13C \
(spin-lattice) relaxation times of [Pen1,Leu2]oxytocin were determined, and the results were compared with previous
studies of [Pen^oxytocin, a related competitive inhibitor, and oxytocin, the native hormone agonist. These studies
indicated that the hormone inhibitors [Pen1,Leu2] oxytocin and [Pen1] oxytocin have similar conformational and dynamic
properties which are different than those of the agonist, oxytocin.
Peptide hormone competitive inhibitors (antagonists) important clues to structural and dynamic features related
constitute a potentially useful class of organic compounds to both binding and transduction.
in clinical applications and for studying peptide-receptor Recently we have shown that [l-penicillamine]oxytocin
interactions and the mechanisms of peptide hormone
action. These applications derive from their ability to ([Pen1] oxytocin, S-C(CH3)2CH(NH2)CO-Tyr-Ile-Gln-
interact with the receptor in a manner similar to the Asn-Cys-Pro-Leu-Gly-NH2), a competitive inhibitor of
hormone and their inability to transduce a biological oxytocin,3·4 has considerably restricted dynamic properties
message to effect a change in the target cells metabolism relative to those of oxytocin.5’6 These studies suggested
or other properties. Thus a peptide hormone competitive that certain specific differences in the conformational,
inhibitor can provide information of the hormone-receptor dynamic, and structural properties of the hormone and
interaction independent of the transduction event and antagonist were related to differences in biological activity.6